<?php if (!defined('THINK_PATH')) exit();?><form action="__APP__/Account/orderSubmit" method="post" onsubmit="return false;">
<table class="table table-bordered">
<tbody>
	<tr>
	<td width=80>充值金额</td>
	<td>
	<div class="input-prepend input-append">
    <span class="add-on">￥</span>
    <input class="span7" id="appendedPrependedInput" type="text" name="amount">
    <span class="add-on">.00</span>
    </div></td>
	</tr>
	<tr>
	<td>备注</td>
	<td><textarea name="remark" rows=5></textarea>
	</td></tr>
	<tr><td colspan="2"><input type="submit" class="btn" value="充值" onclick="chargeOrder('__APP__/Account/orderSubmit');"/></td></tr>
</tbody>
</table>
</form>